About the role
Ro is a direct-to-patient healthcare company with a mission of helping patients achieve their health goals by delivering the easiest, most effective care possible. Ro is the only company to offer nationwide telehealth, labs, and pharmacy services. This is enabled by Ro's vertically integrated platform that helps patients achieve their goals through a convenient, end-to-end healthcare experience spanning from diagnosis, to delivery of medication, to ongoing care. Since 2017, Ro has helped millions of patients in nearly every single county in the United States, including 99% of primary care deserts. Ro is consistently recognized as a top workplace in Health Care, in New York, and for Women and Parents—earning more than 20 honors from Fortune, Great Place to Work, and PEOPLE since 2021. In 2025 alone, we ranked top 5 among medium workplaces in Health Care and New York, and top 50 nationwide.
The Role We are looking for a Principal Software Engineer to join
the team at Ro. In this role, you’ll operate as a senior technical leader across our engineering organization — helping shape the long-term technical direction of our platform, stewarding the health and evolution of critical systems, and driving architectural decisions that enable Ro to scale sustainably, safely, and quickly. Principal Engineers at Ro operate with deep technical expertise, broad organizational awareness, and a proactive, future-facing mindset. You will partner with teammates across engineering, product, design, and cross-functional leaders to define and deliver technical strategies that support both near-term product goals and long-term business outcomes. You will identify opportunities, anticipate risks, and guide teams toward resilient, maintainable, high-quality solutions. If you’re energized by system-wide impact, solving ambiguous and complex technical challenges, and elevating the engineering organization through mentorship, thought partnership, and architectural leadership, we’d love to talk. \n What You’ll Do Define and drive the architectural vision for key systems and platforms, ensuring scalability, reliability, resilience, and long-term maintainability. Evaluate and recommend foundational technologies, patterns, and practices that position Ro for future growth. Translate complex, ambiguous problem spaces into clear technical roadmaps, identifying tradeoffs and guiding teams toward strategic solutions. Lead organization-wide initiatives that improve system health, observability, performance, security, and operational excellence. Partner with product, design, data, and other teams to align technical strategy with business priorities. Break down large, multi-team initiatives into actionable plans and drive them from concept to delivery. Mentor and support Staff, Senior, and early-career engineers in both technical and strategic growth. Foster a culture of high-quality engineering, thoughtful design, rigorous review, and continuous learning. Provide technical leadership in design reviews, architecture discussions, and cross-team forums. Act as a trusted technical advisor to engineering leadership and cross-functional partners. What You’ll Bring to